San Antonio Express-News (Sunday)

Noninvasiv­e, no-downtime treatments for a better summer body

- By Aja Mangum

Believe it or not, there are ways to reshape your body that fall somewhere between the diet and exercise route or going the way of scalpels and fat-suctioning.

In 2020, the American Society of Plastic Surgeons reported a decrease in noninvasiv­e fat reduction, cellulite treatments and nonsurgica­l skin tightening, but as we slowly come out on the other side of the pandemic after two years, doctors are noticing an uptick in the number of patients looking to lift, tighten and tone their bodies with the help of technology.

“One of the biggest trends we are seeing is a growing interest in overall body contouring to truly shape your ideal body,” says Dr. Arash Moradzadeh, a facial plastic and reconstruc­tive surgeon based in Beverly Hills, Calif. “Patients are coming in asking for the whole package.”

According to Yelp, searches for traditiona­l body contouring were up 35 percent and for Emsculpt up 24 percent in 2021.

There are a variety of noninvasiv­e, no-downtime treatments available, but there’s no quick fix. Results often take months to become visible.

“Summer bodies are made in the winter,” says Dr. Paul Jarrod Frank, founder of PfrankMD.

Memorial Day is three months away, so now is the time to tighten butts, dewrinkle elbows and jump-start your summer body prep.

Cellulite

Cottage cheese butts can come

out of hiding with the advent of QWO, the first injectable approved by the Food and Drug Administra­tion to treat moderate to severe cellulite in adult women.

“The injections work to dissolve the buildup of collagen in the fibrous bands, which are bands under the skin that thicken and cause tension and the ‘dimpled’ look of cellulite,” explains Dr. Bruce Katz of JUVA

Skin and Laser Center in New York.

As of now, the treatment is FDA-approved only for buttocks, but Katz uses a series of deeper injections in varying directions to treat thighs as well. A butt treatment takes about 10 minutes, with three sessions required. Expect bruising that lasts for one week and a smoother derriere around the 10-week mark. QWO hit the market in 2021; while data suggest long-lasting results, the

jury is still out.

Butt and arms

For those who are generally fit and toned but want more definition, Emsculpt will lift butts and define arms.

“It uses highly focused electromag­netic energy and redistribu­tes fat through long-hold muscular contractio­n,” says Dr. Shirley Madhére, a holistic plastic surgeon who founded Jet Set Beauty Rx. “It typically results up to 19 percent fat reduction and up to 1 ½ inches of fat loss.”

Frank uses Emsculpt NEO to treat biceps and triceps, and calls a 30-minute session the equivalent of 20,000 bicep or tricep curls.

Breasts

Age, fluctuatin­g weight and implant removal can contribute to breast sagging. Traditiona­lly, going under the knife was the ideal way to fight gravity, but InMode’s BreastTite delivers a bit of perk.

“It’s like the Botox of the breast, where it improves your skin for a more youthful breast,” says Dr. Jacob Unger of Nashville’s Maxwell Aesthetics. “Standard surgery only interacts with the tissue along the excisional line, and BreastTite uses radio frequency to remodel and tighten the breast skin envelope to deliver a more elevated and youthful result to the entire breast.”

When combined with Morpheus8’s deep fractional treatment capabiliti­es to remodel collagen, an invasive procedure can be avoided.

Abs

Denver-based plastic surgeon Dr. Gregory A. Buford and Dr. Paul M. Friedman of Houston, president-elect of the American Society for Laser Medicine and Surgery, use EON on patients who need an abdominal tuneup.

This touchless system uses a robotic arm to simultaneo­usly deliver fat-reducing laser and skin-cooling technology for minimal discomfort. Results are visible in 12 weeks, and the dead fat cells are discarded through the body’s lymphatic system.

For those who want to reduce fat and build muscle — and can tolerate what feels like mini karate chops to the gut combined with muscle contractio­ns — TruBody is the way to go.

This treatment uses TruSculpt iD radio frequency technology to melt fat and muscle stimulatio­n to add up to “a workout on steroids,” according to Dr. Nina Desai, an anti-aging specialist out of Sugar Land. “You get 50,000 contractio­ns of each muscle group being targeted in 15 minutes. Together they are a powerhouse to provide strength and contour, shaping an overall improved physique.”

Knees and elbows

Dr. Anne Chapas’ patients love Thermage because it treats lax, crepelike skin on the body in a single 45- to 60-minute office visit.

“Thermage uses radio frequency technology to heat the deeper collagen-rich layers of the skin,” says the director of Unionderm, a New York-based cosmetic dermatolog­y group. “This heat causes collagen to contract and encourage new collagen to grow.”

Knees and elbows are noticeably smoother after one treatment, but results improve after two months to six months.

Uneven skin tone

A newly molded physique deserves a rejuvenate­d complexion. BBL Hero utilizes BroadBand light to treat sun damage, hyperpigme­ntation, freckles and redness on all areas of the body.

Quick pulses of light are passed over the skin to target and destroy pigment and stimulate cell rejuvenati­on. (A person’s back may take 10 minutes to treat.) Patients may feel the skin warming, though not enough to require a topical numbing agent.

Users should refrain from tanning in the weeks before the procedure; those with deeper skin tones, says Entière Dermatolog­y founder Dr. Melissa Kanchanapo­omi Levin, should find a doctor with expertise in richer pigments.

 ?? Getty Images ?? The injectable QWO smooths backsides and thighs dimpled by cellulite. It’s FDA-approved for use in the buttocks of women.
Getty Images The injectable QWO smooths backsides and thighs dimpled by cellulite. It’s FDA-approved for use in the buttocks of women.

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